RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC NPI 1619365772

NPI Information

RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC is a diagnostic radiology radiology in Fort Myers, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC NPI is 1619365772. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13681 DOCTORS WAY
FORT MYERS, FL
ZIP 33912-300
Phone: (239) 343-1000

The provider's authorized official is Brian A Krivisky .
The authorized official title is President and has the following contact phone number (239) 931-6376.

The CLIA number assigned to this NPI record is 10D2142220 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/24/2014 and was last updated on 6/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.